Active NPI
Richard Jarrett Jusko, PT
- Physical Therapist
- Everett, WA
National Provider Identifier
1356326334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00003695
- Practice address
- 4220 Hoyt Ave
Everett, WA 98203-2317 - Phone
- (425) 258-5330
- Fax
- (425) 258-6118
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT00003695 | WA | Primary |
Addresses
Primary practice location
4220 Hoyt Ave
Everett, WA 98203-2317
Mailing address
1188 106TH Ave NE
Suite 100
Bellevue, WA 98004-8614
Phone (425) 454-4864
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00748163 | Other | WA | RAILROAD MEDICARE |
| 8343253 | Medicaid | WA | |
| 8335820 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3695 | OR | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
| Therapeutic Associates Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Seattle, WA
- NPI 1184600934
-
- Physical Therapist
- Seatle, WA
- NPI 1831175967
-
- Physical Therapist
- Portland, OR
- NPI 1144042649
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256083200000",
"number": "1356326334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1188 106TH AVE NE",
"address_2": "SUITE 100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980048614",
"telephone_number": "425-454-4864",
"fax_number": "425-646-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4220 HOYT AVE",
"city": "EVERETT",
"state": "WA",
"postal_code": "982032317",
"telephone_number": "425-258-5330",
"fax_number": "425-258-6118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSKO",
"first_name": "RICHARD",
"middle_name": "JARRETT",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2009-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT00003695",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00748163",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8343253",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8335820",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Everett, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.